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MEMBERSHIP APPLICATION
PERSONAL INFORMATION IS CONFIDENTIAL
Full Name: Occupation:
Nationality: Title:
Birthday: Company:
Drivers License: Telephone:
Passport: Address:
Social Security:
CONTACT INFORMATION
Telephone Numbers Email Addresses
Home: Home:
Office: Office:
Mobile: Text Messages:
Pager: Instant Messenger:
Other: Other:
Please tell us any specific instructions for contacting you regarding your Membership:
PREFERENCES
Please describe the type of Model that interests you:
(Nationality/Age preference/Color skin, hair, eyes/Adult Star/Centerfold/Model type)
Personality preference:
Will you only book Models in your area & as you travel or will you fly Models in to your city?
ADDITIONAL INFORMATION
Were you referred to Max Models?
If yes, please tell us who referred you:   
If no, please tell us how you found us:   

 

  

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